BMC Public Health | |
The relationship between healthy behaviors and health outcomes among older adults in Russia | |
Jane M Cramm1  Anna Selivanova2  | |
[1] Institute of Health Policy and Management, Erasmus University Rotterdam, P.O. Box 1738, 3000, DR Rotterdam, the Netherlands;Erasmus School of Economics, Erasmus University Rotterdam, Rotterdam, the Netherlands | |
关键词: Russia; Older population; Smoking; Alcohol; Dietary behavior; Physical activity; Self-rated health; Healthy behavior; | |
Others : 1122943 DOI : 10.1186/1471-2458-14-1183 |
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received in 2014-06-22, accepted in 2014-11-06, 发布年份 2014 | |
【 摘 要 】
Background
Worldwide, populations are aging and the health of elderly individuals is deteriorating. Healthy habits may slow the process of health deterioration, but research investigating relationships between health and various health behaviors is lacking. This study aimed to investigate the relationships between health and health behaviors (alcohol consumption, smoking, dietary behavior, and physical activity) among older men and women in Russia.
Methods
Wave 1 Study on Global AGEing and Adult Health data (2007–2010) collected in the European portion of the Russian Federation, southern federal districts of the European portion of Russia and from the Asian portion of the country were used for this study. Relationships between self-rated health and four risk behavior measures [physical activity, alcohol consumption, smoking, and dietary behavior (fruit and vegetable consumption)] were examined. Analyses controlled for several socioeconomic factors: gender, age, marital status, educational level, area of residence, ethnicity, and employment status. To estimate the effect of healthy behavior on the probability that participants rated their health as very good/good/moderate/bad/very bad, the ordered logit model and average marginal effects were used.
Results
Sufficient physical activity affected self-rated health most significantly in both genders, whereas excessive alcohol consumption had no significant effect. Smoking had explanatory power (being a current smoker decreased the probability of a very good health assessment and increased the probability of a very bad rating compared with being a non-smoker) among men, but not women. Fruit and vegetable consumption had a strong effect on self-rated health among women, but not men.
Conclusions
The results of this study indicate that health behaviors, especially physical activity, are important for the health of Russia’s older population. Smoking behavior had a strong impact on the health of men, whereas fruit and vegetable consumption was a relevant factor for women. Policies promoting smoking reduction and healthy diet should thus target older men and women, respectively.
【 授权许可】
2014 Selivanova and Cramm; licensee BioMed Central Ltd.
【 预 览 】
Files | Size | Format | View |
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20150215025040216.pdf | 296KB | download |
【 参考文献 】
- [1]National Institute on Aging. Growing Older in America: The Health and Retirement Study. Washington, DC: U.S. Department of Health and Human Services; 2007.
- [2]Gavrilova NS, Gavrilov LA: Rapidly aging populations: Russia/Eastern Europe. In International Handbook of Population Aging.. Edited by Uhlenberg P. International Handbook of Population Aging; 2009:113-131.
- [3]U.S. Census Bureau: International Programs. International Data Base; 2007.
- [4]Leon DA, Chenet L, Shkolnikov VM, Zakharov S, Shapiro J, Rakhmanova G, Vassin S, McKee M: Huge variation in Russian mortality rates 1984–94: artefact, alcohol, or what? Lancet 1997, 350:383-388.
- [5]Shkolnikov V, McKee M, Leon DA: Changes in life expectancy in Russia in the mid-1990s. Lancet 2001, 357(9260):917-921.
- [6]Gurina NA, Frolova EV, Degryse JM: A roadmap of aging in Russia: the prevalence of frailty in community-dwelling older adults in the St. Petersburg district–the “Crystal” study. J Am Geriatr Soc 2011, 59:980-988.
- [7]Mossey JM, Shapiro E: Self-rated health: a predictor of mortality among the elderly. Am J Public Health 1982, 72:800-808.
- [8]World Health Organization: World Health Report.Reducing risks, promoting healthy life. Geneva: World Health Organization; 2002.
- [9]Zaridze D, Brennan P, Boreham J, Boroda A, Karpov R, Lazarev A, Konobeevskaya I, Igitov V, Terechova T, Boffetta P, Petoc R: Alcohol and cause-specific mortality in Russia: a retrospective case–control study of 48,557 adult deaths. Lancet 2009, 373:2201-2214.
- [10]Segal BM: The Drunken Society: Alcohol Abuse and Alcoholism in the Soviet Union: A Comparative Study. New York: Hippocrene Books; 1990.
- [11]Cockerham WC: The social determinants of the decline of life expectancy in Russia and Eastern Europe: a lifestyle explanation. J Health Soc Behav 1997, 38(2):131-148.
- [12]Cockerham WC: Health and Social Change in Russia and Eastern Europe. London: Routledge; 1999.
- [13]Van Gundy K, Schieman S, Kelley M, Rebellon C: Gender orientations and alcohol use among Moscow and Toronto adults. Soc Sci Med 2005, 61(11):2317-2330.
- [14]Gavrilova NS, Gavrilov LA, Semyonova VG, Evdokushkina GN, Ivanova AE: Patterns of Violent Crime in Russia. In Ruling Russia: Law, Crime, and Justice in a Changing Society. Edited by Pridemore WA. Boulder, CO: Rowman & Littlefield Publishers, Inc; 2005:117-145.
- [15]Gafarov VV, Pak VA, Gagulin IV, Babina TD: Ten year dynamics of attitude to health problems in male population of Novosibirsk. Ter Arkhiv 2003, 75(1):27-30.
- [16]Pomerleau J, McKee M, Rose R, Haerpfer CW, Rotman D, Tumanov S: Drinking in the commonwealth of independent states–evidence from eight countries. Addiction 2005, 100(11):1647-1668.
- [17]Perlman FJA: Drinking in transition: trends in alcohol consumption in Russia 1994–2004. BMC Public Health 2010, 10:691. BioMed Central Full Text
- [18]Bobrova N, West R, Malyutina D, Malyutina S, Bobak M: Gender differences in drinking practices in middle aged and older Russians. Alcohol Alcohol 2010, 45:573-580.
- [19]Kislitsyna O, Stickley A, Gilmore A, McKee M: The social determinants of adolescent smoking in Russia in 2004. Int J Public Health 2010, 55:619-26.
- [20]World Health Organization Regional Office for Europe: The European Tobacco Control Report. Copenhagen, Denmark: World Health Organization Regional Office for Europe; 2007.
- [21]Roberts B, Gilmore A, Stickley A, Rotman D, Prohoda V, Haerpfer C, McKee M: Changes in smoking prevalence in 8 countries of the former Soviet Union between 2001 and 2010. Am J Public Health 2012, 102:1320-1328.
- [22]Cockerham WC: Health lifestyles in Russia. Soc Sci Med 2000, 51:1313-1324.
- [23]Abe SK, Stickley A, Roberts B, Richardson E, Abbott P, Rotman D, McKee M: Changing patterns of fruit and vegetable intake in countries of the former Soviet Union. Public Health Nutr 2013, 16(11):1924-1932.
- [24]Jensen RT, Richter K: The health implications of social security failure: evidence from the Russian pension crisis. J Public Econ 2004, 88:209-236.
- [25]Wolinsky FD, Stump TE, Clark DO: Antecedents and consequences of physical activity and exercise among older adults. Gerontologist 1995, 35(4):451-462.
- [26]Lee Y, Lee KJ, Han GS, Yoon SJ, Lee YK, Kim CH, Kim JL: The development of a physical functioning scale for community-dwelling older persons. J Prev Med Public Health 2002, 35(4):359-374.
- [27]Capistrant BD, Glymour MM, Berkman LF: Assessing mobility difficulties for cross-national comparisons: results from the World Health Organization Study on Global AGEing and Adult Health. J Am Geriatr Soc 2014, 62:329-335.
- [28]Dorynska A, Paja A, Kubinova R, Malyutina S, Tamosiunas A, Pikhart H, Peasey A, Nikitin Y, Marmot M, Bobak M: Socioeconomic circumstances, health behaviours and functional limitations in older persons in four Central and Eastern European populations. Age Ageing 2012, 41:728-735.
- [29]Cockerham WC, Hinote BP, Cockerham GB, Abbott P: Health lifestyles and political ideology in Belarus, Russia, and Ukraine. Soc Sci Med 2006, 62:1799-1809.
- [30]Idler EL, Benyamanini Y: Self-rated health and mortality: a review of twenty-seven community studies. J Health Soc Behav 1997, 38:21-37.
- [31]Idler EL, Kasl SV: Self-ratings of health: do they predict change in functional ability? J Gerontol B Psychol Sci Soc Sci 1995, 50:344-353.
- [32]Grossman M: On the concept of health capital and the demand for health. J Polit Econ 1972, 80(2):223-255.
- [33]Humphreys BR, McLeod L, Ruseski JE: Physical activity and health outcomes: evidence from Canada. Health Econ 2014, 23:33-54.
- [34]Maximova T: Russian Federation - Study on Global Ageing and Adult Health-2007/10, Wave 1. WHO Multi-Country Studies Data Archive: Semashko Institute for Research on Social Hygiene, Russian Academy of Medical Sciences; 2013.
- [35]Kowal P, Chatterji S, Naidoo N, Biritwum R, Fan W, Lopez Ridaura R, Maximova T, Arokiasamy P, Phaswana-Mafuya N, Williams S, Snodgrass JJ, Minicuci N, D’Este C, Peltzer K, Boerma JT, SAGE Collaborators: Data resource profile: the World Health Organization Study on global AGEing and adult health (SAGE). Int J Epidemiol 2012, 41(6):1639-1649.
- [36]World Health Organization: Global Recommendations on Physical Activity for Health. Geneva: World Health Organization; 2010.
- [37]World Health Organization: Global Strategy on Diet, Physical Activity and Health. Geneva: World Health Organization; 2004.
- [38]Cockerham WC, Hinote BP, Abbott P: Psychological distress, gender, and health lifestyles in Belarus, Kazakhstan, Russia, and Ukraine. Soc Sci Med 2006, 63:2381-2394.
- [39]International Center for Alcohol Policies (ICAP): International Drinking Guidelines for Alcohol. Washington, DC: ICAP; 2003.
- [40]Cockerham WC: Health lifestyles and the absence of the Russian middle class. Sociol Health Illn 2007, 29(3):457-473.
- [41]Turrell G: Determinants of gender differences in dietary behavior. Nutr Res 1997, 17(7):1105-1120.
- [42]Stickley A, Koyanagi A, Roberts B, Richardson E, Abbott P, Tumanov S, McKee M: Loneliness: its correlates and association with health behaviours and outcomes in nine countries of the former Soviet Union. PLoS One 2013, 8(7):e67978. doi:10.1371/journal.pone.0067978
- [43]Carro JM, Traferri A: Correcting the Bias in the Estimation of a Dynamic Ordered Probit With Fixed Effects of Self-Assessed Health Status. Economics Working Papers we09402. Boston University: Universidad Carlos III, Departamento de Economía; 2009.
- [44]Fernández-Val I, Savchenko Y, Vella F: Evaluating the role of individual specific heterogeneity in the relationship between subjective health assessments and income. IZA DP 2013., 7651
- [45]Lucky S, Arokiasamy P, Singh PK, Rai RK: Determinants of gender differences in self-rated health among older population. Evidence from India. SAGE Open 2013, 3(2):1-12.
- [46]Demirchyan A, Petrosyan V, Thompson ME: Gender differences in predictors of self-rated health in Armenia: a population-based study of an economy in transition. Int J Equity Health 2012, 11:67. BioMed Central Full Text
- [47]Voormann R, Helemae J: A comparative analysis of gender differences in self-rated health: is the Baltic Sea frontier of the East–west health divide in Europe? Filisofija Sociologija 2013, 24(2):62-70.
- [48]Carlson P: Risk behaviors and self rated health in Russia 1998. J Epidemiol Community Health 2001, 55:806-817.
- [49]Bird CE: Gender, household labor, and psychological distress: the impact of the amount and division of housework. J Health Soc Behav 1999, 40(1):32-45. doi:10.2307/2676377
- [50]Bianchi SM, Milkie MA, Sayer LC, Robinson JP: Is anyone doing the housework? Trends in the gender division of household labor. Soc Forces 2000, 79(1):191-228. doi:10.1093/sf/79.1.191
- [51]Cubbins LA, Szaflarski M: Family effects on self-reported health among Russian wives and husbands. Soc Sci Med 2001, 53(12):1653-1666.
- [52]Green M: Governing under advanced liberalism: sport policy and the social investment state. Policy Sci 2007, 40(1):55-71.
- [53]Bedimo-Rung AL, Mowen AJ, Cohen DA: The significance of parks to physical activity and public health. A conceptual model. Am J Prev Med 2005, 28(2S2):159-168.
- [54]Mytton OT, Townsend N, Rutter H, Foster C: Green space and physical activity: an observational study using health survey for England data. Health Place 2012, 18(5):1034-1041. 10.1016/j.healthplace.2012.06.003
- [55]Cockerham WC, Snead MC, DeWaal DF: Health lifestyles in Russia and the socialist heritage. J Health Soc Behav 2002, 43(1):42-55.
- [56]Abbott PA, Turmov S, Wallace C: Health world views of post-soviet citizens. Soc Sci Med 2006, 62:228-238.
- [57]Neufeld M, Rehm J: Alcohol consumption and mortality in Russia since 2000: are there any changes following the alcohol policy changes starting in 2006? Alcohol Alcohol 2013, 48:222-230.
- [58]Hinote B, Cockerham WC, Abbott P: Psychological distress and dietary patterns in eight post-Soviet republics. Appetite 2009, 53:24-33.
- [59]Kiefer I, Rathmanner T, Kunze M: Eating and dieting differences in men and women. J Mens Health Gend 2005, 2(2):194-201.
- [60]Johnson CL, Catalano DJ: Childless elderly and their family supports. Gerontologist 1981, 21(6):610-618.
- [61]Fenwick R, Barresi CM: Health consequences of marital-status change among the elderly: a comparison of cross-sectional and longitudinal analyses. J Health Soc Behav 1981, 22(2):106-116.
- [62]Cafferata GL: Marital status, living arrangements, and the use of health services by elderly persons. J Gerontol 1987, 42(6):613-618.
- [63]Bonsang E: Does informal care from children to their elderly parents substitute for formal care in Europe? J Health Econ 2009, 28:143-154.
- [64]Kay R: ‘She’s like a daughter to me’: insights into care, work and kinship from rural Russia. Eur Asia Stud 2013, 65:1136-1153.
- [65]Karlsen S, Nazroo JY: Agency and structure: the impact of ethnic identity and racism on the health of ethnic minority people. Sociol Health Illn 2002, 24(1):1-20.
- [66]Utsey SO, Chae MH, Brown CF, Kelly D: Effect of ethnic group membership on ethnic identity, race-related stress and quality of life. Cultur Divers Ethnic Minor Psychol 2002, 8(4):366-377.
- [67]Verkuyten M: Social psychology of ethnic identity. Psychology Press 2004.
- [68]Zaridze D, Lewington S, Boroda A, Sculo G, Karpov R, Lazarev A, Konobeevskaya I, Igitov V, Terechova T, Boffetta P, Sherliker P, Kong X, Whitlock G, Boreham J, Brennan P, Peto R: Alcohol and mortality in Russia: prospective observational study of 151 000 adults. Lancet 2014, 383:1465-1467.